Melissa Gramigna, LPC

Texas · 20 years in practice

Melissa Gramigna is a Licensed Professional Counselor (LPC) based in Texas with 20 years of experience.

License and registration

LPC, Texas: 17026 · expires December 2027
NPI: 1265869796 · national provider identifier
Years in practice: 20
Languages: English

Details are as listed on the therapist's public professional profile. You can check the license with the issuing state board, and the NPI with the national registry.

About Melissa

Melissa Gramigna is a Licensed Professional Counselor (LPC) based in Texas with 20 years of experience. She approaches therapy as a practical, person-centered process and believes conversations can start real change. Melissa aims to create a warm, respectful space where people feel heard and understood.

Her work draws on existential ideas that help people find meaning when life feels uncertain. She also uses Acceptance and Commitment Therapy and cognitive-behavioral strategies to address thoughts and behaviors that get in the way of daily life.

Background and approach

Dialectical behavior ideas and client-centered techniques guide sessions toward skills and self-compassion. Melissa helps people facing stress, anxiety, depression, addiction concerns, trauma, grief, and issues with intimacy or relationships. She also supports those coping with ADHD, bipolar concerns, compassion fatigue, and career stress.

Additional focuses include hospice and end-of-life counseling, veteran and armed forces issues, personality concerns, and seasonal mood changes. Sessions are tailored to each person. Melissa listens first, then works with clients to set clear, achievable goals.

She combines practical skills, mindfulness, and reflective conversation so people can try new ways of responding to old problems. Her style is straightforward and caring. Melissa encourages people to notice what matters to them and to take steps toward a life that feels more meaningful and manageable.

Focus areas and approaches

Everything Melissa lists on their public professional profile, in their own terms.

Stress, Anxiety
Addictions
Relationship issues
Anger management
Depression
LGBT
Family conflicts
Trauma and abuse
Grief
Intimacy-related issues
Sleeping disorders
Parenting issues
Self esteem
Career difficulties
Bipolar disorder
Coping with life changes
Compassion fatigue
ADHD
Hospice and end-of-life counseling
Jealousy
Veteran and Armed Forces Issues
Paranoia
Personality disorders
Seasonal Affective Disorder (SAD)
Self-harm

Approaches Melissa names

Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.

Online support

Therapeutic approaches adapted for online care

Existential therapy helps people name what matters to them and face difficult life questions. It focuses on meaning, choice, and responsibility so people can make decisions that fit their values. Acceptance and Commitment Therapy (ACT) teaches practical ways to accept hard feelings while committing to actions that reflect personal goals. It can help with anxiety, depression, and life transitions. Client-Centered Therapy centers the person's experience and uses empathic listening to help people feel understood and to build self-directed change.

Choosing the right approach is part of the work together. The therapist will listen to your needs and try different methods to see what fits. That collaborative process helps shape goals and the types of exercises used in sessions.

Online formats offer flexible ways to meet. Video calls allow face-to-face conversation and guided exercises. Phone sessions can fit a busy schedule or work when bandwidth is limited. Live chat and text-based messaging support shorter check-ins, written reflections, or ongoing coaching between sessions. These options make it easier to keep therapy consistent around work, caregiving, or travel while still working toward meaningful change.

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Questions people ask

What kinds of problems does Melissa help with?

She works with stress, anxiety, depression, addictions, trauma and abuse, grief, relationship and intimacy issues, and related concerns such as ADHD and compassion fatigue.

What is her general approach in sessions?

She blends existential perspectives with acceptance and commitment and cognitive-behavioral strategies, using client-centered conversation to set goals and build practical skills.

How much experience does she have?

Melissa has twenty years of clinical experience working in mental health settings and independent practice.

What credentials and location apply to her practice?

She is a Licensed Professional Counselor (LPC) licensed in Texas and practices from that state.

Which languages are supported for sessions?

Sessions are offered in English.

What session formats are offered?

Therapy is available via video calls, phone sessions, live chat, or text-based messaging.

How are fees and payment handled?

Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.

How do I begin working with Melissa?

Click the Start Therapy button, complete a short matching questionnaire, and schedule sessions based on the therapist's availability.

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